nursing home in Manchester, NH
Courville at Manchester
44 West Webster Street, Manchester, NH 03104 · (603) 647-5900
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★5
- Quality measures★★★★★4
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Courville at Manchester at a glance
Courville at Manchester is a 76-bed for-profit nursing home in Manchester, New Hampshire (Hillsborough County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Hampshire average of 3.
Residents receive about 4.2 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (February 19, 2026) found 8 health citations. The New Hampshire average is 4.
Federal regulators fined it 2 times in the past three years, totaling $35,270.
Nursing staff turnover is 43.6% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 76
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1996
- Resident/family council
- Resident
- County
- Hillsborough County
- CMS Certification Number
- 305057
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.18 hrs | 3.90 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.92 hrs | 0.78 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.34 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.73 hrs | 3.47 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 43.6% | 44.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 25% | 40.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 0 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 81.5 | 24.6 | 80.6 | Average |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $35,270 | $7,928 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 76 | 100 | 107 | |
| Average residents per day | 67 | 81 | 86 | |
| Occupancy | 87.6% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 4.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.6% | 4.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 9.7% | 17.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.1% | 22.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.7% | 17.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 8.7% | 13.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.7% | 19% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 33.3% | 25.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96% | 83% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 86.8% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 6, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | J Immediate jeopardy, isolated | Corrected May 18, 2026 |
| May 6, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected June 19, 2026 |
| May 6, 2026 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 12, 2026 |
| February 19, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 11, 2026 |
| February 19, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected March 11, 2026 |
| February 19, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 11, 2026 |
| February 19, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 11, 2026 |
| February 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 11, 2026 |
| February 19, 2026 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected March 12, 2026 |
| February 19, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 13, 2026 |
| February 19, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 12, 2026 |
| January 17, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 17, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 17, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected February 7, 2025 |
| January 17, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected February 7, 2025 |
| January 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 4, 2025 |
| January 17, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected February 10, 2025 |
| January 17, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 10, 2025 |
| January 17, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 10, 2025 |
| January 17, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 4, 2025 |
| January 17, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 5, 2025 |
| January 17, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected February 4, 2025 |
| January 17, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected February 10, 2025 |
| January 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected February 7, 2025 |
| February 15, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | C No harm, widespread | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected May 7, 2024 |
| February 15, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected May 7, 2024 |
| February 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 19, 2024 |
| February 15, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 19, 2024 |
| February 15, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 19, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $35,270 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 6, 2026 | Fine | $22,205 |
| May 6, 2026 | Fine | $13,065 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RICHARD COURVILLE 1999 REVOCABLE TRUST, AS AMENDED Organization | 5% or greater direct ownership interest | 99% | 08/17/2024 |
| COURVILLE, ADAM Individual | 5% or greater indirect ownership interest | 33% | 08/17/2024 |
| COURVILLE, MICHAEL Individual | 5% or greater indirect ownership interest | 33% | 08/17/2024 |
| COURVILLE, RYAN Individual | 5% or greater indirect ownership interest | 33% | 08/17/2024 |
| COURVILLE, ADAM Individual | adp of the snf | NOT APPLICABLE | 08/17/2024 |
| COURVILLE, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 08/17/2024 |
| COURVILLE, RYAN Individual | adp of the snf | NOT APPLICABLE | 07/28/2019 |
| DIDOMENICO, PAULETTE Individual | adp of the snf | NOT APPLICABLE | 09/18/2013 |
| GOLDMAN, SAMUEL Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| RICHARD COURVILLE 1999 REVOCABLE TRUST, AS AMENDED Organization | adp of the snf | NOT APPLICABLE | 08/17/2024 |
| RIFKIN, ALYSSA Individual | adp of the snf | NOT APPLICABLE | 06/08/2025 |
| THE COURVILLE COMPANY INC Organization | adp of the snf | NOT APPLICABLE | 05/29/1991 |
| COURVILLE, RYAN Individual | corporate director | NOT APPLICABLE | 08/19/2024 |
| COURVILLE, RYAN Individual | corporate officer | NOT APPLICABLE | 07/28/2019 |
| LA QUINTA HOLDINGS I, INC. Organization | direct ownership interest | NOT APPLICABLE | 08/17/2024 |
| DIDOMENICO, PAULETTE Individual | operational/managerial control | NOT APPLICABLE | 09/18/2013 |
| GOLDMAN, SAMUEL Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| LA QUINTA HOLDINGS I, INC. Organization | operational/managerial control | NOT APPLICABLE | 08/17/2024 |
| RIFKIN, ALYSSA Individual | operational/managerial control | NOT APPLICABLE | 03/31/2023 |
| THE COURVILLE COMPANY INC Organization | operational/managerial control | NOT APPLICABLE | 05/29/1991 |
| COURVILLE, RYAN Individual | trustee of the snf | NOT APPLICABLE | 08/19/2024 |
Other nursing homes near Courville at Manchester
Mount Carmel Rehabilitation and Nursing Center
235 Myrtle Street, Manchester, NH 03104 · under 1 mi
Non-profit · 122 beds · Part of Catholic Charities New Hampshire
★★★★★3AverageMaple Leaf Health Care Center
198 Pearl Street, Manchester, NH 03104 · under 1 mi
For-profit · 114 beds
★★★★★5Much above averageSaint Teresa Rehabilitation & Nursing Center
519 Bridge Street, Manchester, NH 03104 · 1.6 mi
Non-profit · 51 beds · Part of Catholic Charities New Hampshire
★★★★★2Below average- ★★★★★4Above average
- ★★★★★4Above average
Hackett Hill Healthcare Center
191 Hackett Hill Road, Manchester, NH 03102 · 2.4 mi
For-profit · 70 beds · Part of Genesis Healthcare
★★★★★2Below average
Frequently asked questions
What is Courville at Manchester's rating?
Courville at Manchester has 2 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did Courville at Manchester receive?
Its most recent standard health inspection found 8 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does Courville at Manchester accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Courville at Manchester?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Courville at Manchester and how do I contact it?
Courville at Manchester is at 44 West Webster Street, Manchester, NH 03104. Phone: (603) 647-5900.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.